Effect of Administrative Decentralisation in Korle-Bu Teaching Hospital on the Performance of the Medical Subbudget Management Centre.
Date
2015-07
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
University of Ghana
Abstract
The concept of decentralisation has become a catch word not only within health sector
reform strategies, but also in the overall policy and theoretical debates underpinning
development. Community participation is a crucial ingredient for the development of
responsive health-care systems both in high and low income countries.
Objective(s) The study explored the administrative effects of decentralisation on the
Medical sub-Budget Management Centre of the Korle Bu Teaching Hospital.
Methods
An explorative descriptive method (quantitative research) was employed in the study.
Questionnaires were used to obtain views from health managers at the various levels in the
Hospital. The research assessed performance of the independent variables like governance,
finance, human resource and procurement. The quantitative data resulting from the
structured questionnaires was analysed using SPSS version 18.00 and a bivariate analysis
was done examining the relationships between the independent and the dependent
variables.
Results
The results are presented as frequencies and percentages in tables. They are examined
section by section, considering human resource issues, financial sustainability, governance
challenges, procurement procedure, decentralisation issues and bivariate relationships
between the independent and dependent variables analysed.
Conclusion / Recommendations
The study concluded that, based on the descriptive and bivariate analysis from the results
and discussions, there was no administrative effect of decentralisation on the Medical sub-
BMC of the Korle Bu Teaching Hospital. It is recommended that this study be broadened
beyond the scope of managers and unit heads in future studies.
Description
Thesis (MPH) - University of Ghana, 2015
Keywords
SUBBUDGET MANAGEMENT, DECENTRALISATION, KORLE-BU TEACHING HOSPITAL, PERFORMANCE OF THE MEDICAL, ADMINISTRATIVE